As World Cancer Day is marked on Wednesday, thousands of patients in Gaza face worsening illness, untreated pain and closed crossings - despite the limited opening of the vital route through Rafah this week.
"We are dying. Every day, between two and three patients die inside this hospital," says Munther Abu Foul, a cancer patient lying on his bed in Gaza's largest hospital. "I can't get out of bed because of the pain. We want a solution - open the crossings."
His words capture the reality facing thousands of cancer patients across the Strip, where access to specialist care has collapsed and evacuation for treatment abroad remains out of reach for many.
Local health organisations warn that around 11,000 patients are currently deprived of specialised or diagnostic cancer treatment inside Gaza.
Some 4,000 patients who received medical referrals to hospitals outside the Strip have been waiting for more than two years to travel.
UN News visited Al-Shifa Hospital in Gaza City, documenting the dire conditions inside its oncology department. Patients crowd corridors and wards, waiting for consultations or treatments that are no longer available.
Essential medicines and equipment are in short supply, while many patients endure chronic pain that leaves them barely able to move.
'Every day, two or three patients die'
Mr. Abu Foul flips through his medical transfer papers, issued long ago for treatment outside Gaza. He has not been able to travel for more than two years.
"The health situation in the Gaza Strip is dilapidated," he says. "There is no treatment or medicines, and we are dying. Every day, two to three patients die here inside this hospital. I can't get out of bed because of the pain."
He appeals directly for help. "We want a solution. Open the crossings properly so that God will release us from this suffering. Everyone will be held accountable."
Nearby, Mohamed Hammou tends to his elderly mother, who is also battling cancer. He says families are forced to watch loved ones deteriorate without care.
We want a solution. Open the crossings properly so that God will release us from this suffering - Abu Foul
"This is how we stand in front of a patient who is dying, without treatment or any medical facilities that help them recover," he says. "This does not please God and it does not satisfy people. We call on Islamic, Arab and international nations to look at the sick with mercy."
A brother in pain
In another ward, Raed Abu Warda cares for his brother Hamid, whose cancer has worsened after long delays in treatment. What began as a small, benign illness has become a life-threatening condition.
"He has been suffering from cancer for two years," Raed explains. "He waited all this time for the crossing to open so he could be treated outside. His pain has increased, as you can see."
He gestures towards a wound that has opened beneath his brother's chin. "The disease has created this wound, and his condition is getting worse every day. I stand watching my brother and mourning his condition because of the pain."
The number of patients seeking care at Gaza's oncology departments continues to rise, even as hospitals face severe shortages of medicines, equipment and specialised staff. For newly diagnosed patients, the future is increasingly uncertain.
Evacuations far short of needs
With the limited reopening of the Rafah crossing, the World Health Organization ( WHO ) is supporting the evacuation of patients and their companions from Gaza, focusing on ensuring safe transport. Yet the scale of need far outstrips what is currently possible.
All we ask for is a way to live
More than 18,000 patients - including around 4,000 children - are waiting to be evacuated abroad for medical treatment, according to WHO.
The UN Office for the Coordination of Humanitarian Affairs ( OCHA ) reported last week that Gaza's Ministry of Health had recorded more than 1,200 patient deaths while people were waiting for medical evacuation. Around 4,000 cancer patients remain on critical waiting lists, trapped between closed crossings and a health system pushed beyond its limits.
For patients like Munther Abu Foul, time is running out. "We are dying," he repeats. "All we ask for is a way to live."
